O98.43
BillableViral hepatitis complicating the puerperium
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is O98.43 an HCC code?
No. O98.43 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
O98.43 is the ICD-10-CM diagnosis code for viral hepatitis complicating the puerperium. A viral infection of the liver (hepatitis) that develops after childbirth during the recovery period. O98.43 sits in the ICD-10-CM chapter for pregnancy, childbirth and the puerperium (o00-o9a), within the section covering other obstetric conditions, not elsewhere classified (o94-o9a).
O98.43 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
This code is used only for the postpartum period; verify the timing of hepatitis diagnosis relative to delivery.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for O98.43 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This code is used only for the postpartum period; verify the timing of hepatitis diagnosis relative to delivery
- •Specify the type of viral hepatitis (A, B, C, etc.) if documented, as additional codes may be needed